Individual
ARVINDER KAUR THIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 W LODI AVE, SUITE P, LODI, CA 95242-3000
(209) 366-1990
(209) 473-9256
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A97774
CA
Other
Enumeration date
11/21/2006
Last updated
10/22/2010
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